Status:

COMPLETED

Long Term Nebulised Gentamicin in Patients With Bronchiectasis

Lead Sponsor:

University of Edinburgh

Collaborating Sponsors:

NHS Lothian

Conditions:

Bronchiectasis

Eligibility:

All Genders

18-70 years

Phase:

PHASE4

Brief Summary

The hypothesis of this randomized placebo controlled trial is that targeted nebulized gentamicin to the airways will reduce bacterial burden and limit neutrophil airways inflammation. If given long te...

Eligibility Criteria

Inclusion

  • Bronchiectasis confirmed by HRCT of the chest
  • Clinically stable (not requiring antibiotics for at least 4 weeks preceding the study start date)
  • Aged 18-70
  • Chronic sputum production \> 5 mls for the majority of days in 3 months before enrolment
  • Chronically colonized (on at least 2 occasions in the preceding 12 months) whilst clinically stable
  • At least two exacerbations in the past year
  • Patients able to tolerate a nebulized gentamicin challenge
  • FEV1 \> 30% predicted
  • Smoking \< 20 pack year history and ex-smokers \>1 year.

Exclusion

  • Cystic fibrosis
  • Emphysema on HRCT chest
  • Thoracic surgery within the past 1 year
  • Allergic bronchopulmonary aspergillosis
  • Poorly controlled asthma ( \> 20% diurnal variation in peak expiratory flows despite treatment)
  • Unstable angina or uncontrolled congestive cardiac failure
  • Active malignancy
  • Pregnancy or breast feeding
  • Creatinine clearance \< 30 mls/minute
  • Vestibular instability
  • Previous documented intolerance to aminoglycosides

Key Trial Info

Start Date :

May 1 2007

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

August 1 2009

Estimated Enrollment :

60 Patients enrolled

Trial Details

Trial ID

NCT00749866

Start Date

May 1 2007

End Date

August 1 2009

Last Update

August 10 2010

Active Locations (1)

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Royal Infirmary of Edinburgh

Edinburgh, Lothian, United Kingdom, EH16 4SA